146191 (AR)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATgwr ELECTRICAL FEES PLUMBING FEES
1st Fl. % r' Sq. Ft. p NO. NO.
2nd Fl. Sq. Ft.
Por. Sq. Ft. @
i Car.
Car P.
• Wall
Y
Sq] Ft. @
FINALED DATE
POLES
GROUP
TYPE
BOND
Sq. Ft. Q SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. OR T. CLK,
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
' ESTIMATED VALUATION $(
I
$
MOTOR
H. P.
PLAN CHECK FEE
FLOOR DRAIN
NO.
MECHANICAL FEES
CONTRACTOR
RELEASE BOND
MOTOR
H.P.
$
WATER SOFTENER
HEAT APPLIANCE
DATE
MECHANICAL FEE
MOTOR
H.P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
$
FIXTURES
expire if work.is not commenced within 60 days. If work is suspended or abon-
GARBAGE DISPOSAL
• M.
SO. FT. - UNIT HEATER
doned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
OUTLETS
—
LAUNDRY TRAY
M.
S0. FT. - PERF. CEILING MAT.
$
SUB -PANEL
KITCHEN SINK
i APPLIANCE VENT
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
ELECTRICAL FEE
WATER CLOSET
GAS PIPE
$
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
PLUMBING FEE
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
I hereby certify that in performance I hereby certify that in performance
SPACE HEATER
BATH TUB
COMPRESSOR
of the work for which this permit is of the work for which this permit is
TOTAL FEE
CONSTRUCTION POLE
$
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
M. 0. N.C.
come subject to the Workmen's Com- Code, and a certificate or certified
RESID. 10 S0. FT.
!
HOUSE SEWER
ECEIVED BY
PLAN FILE
Califor iat� County Building Department.
GARAGE iQ
SO. FT,
APER VOLUME SEPTIC TANK
GAS PIPING
PERMIT FEE
+
� / 3 f.JQ
Address, L j V Address
GAL.
PERMIT FEE
GAL.
11 00
1 PERMIT FEE
E MI
M E
REN
DBL
PLN I:HK
FEE
CONST R. FEE
HEAT 11, VENT
ELECT, FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
J
F
M
A
M J
J
A
S O
Y
J I F M A M J I J A S O N
BUILDING INFORMATION JOB ADDRESS 0
WOOD CONCRETE FIREPLACE �^
CONCRETE PIERS MEMBRANE USE OF BUILDING y> DATE
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER ,A4 C: A S 1.' > � S► tars (��' ! �f. ,(
COMMUNITY DISTRICT F.C. JUNITS VALUATION OFFICE
PLASTER DRY WALL ROOF COVERING BD. RMS. .'/1 � .! 1 1 4 �--
I YYY �" V
LEGAL DESCRIPTION PE IT N YR,
'ZONE ZONING CHECKED BY PERMIT USE NO.
r &- SUPPLEMENT TO PERMIT
SET FRONT SIDE REAR LOT SIZE
I
BALK
Y
'
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
3--/7-1- `
I
$
J
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
LICENSE -TYPE
DATE
MECHANICAL FEE
In accordance with Sec. 302-D of the uniform Building Code, this permit shall
$
expire if work.is not commenced within 60 days. If work is suspended or abon-
60
doned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
—
and void.
$
This permit is issued, and shall continue in effect, pursuant to the terms and
2
` :
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
$
OWNER -BUILDER CONTRACTOR
PLUMBING FEE
I hereby certify that in performance I hereby certify that in performance
3S
of the work for which this permit is of the work for which this permit is
TOTAL FEE
$
issued I shall not employ any person issued I have complied with Title 8,
in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor
' CASH CHECK
M. 0. N.C.
come subject to the Workmen's Com- Code, and a certificate or certified
pensation Lafvs Of the State of copy is on file with the Riverside
ECEIVED BY
PLAN FILE
Califor iat� County Building Department.
#
Owner r �� "" Contractor
APER VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
+
� / 3 f.JQ
Address, L j V Address
GAL.
SO. FT.
GAL.
}
Telephone ( 7 Tel. Lic. q
ETTER ❑ FILE